Emergency Department - Hospital Compare Data as of December 2016

Emergency Department - Hospital Compare Data as of December 2016

Hospital Compare Data as of December 2016

More recent data is also available reporting discharges from January through December 2016.


<<back to Quality Report Card home page

Created new Rapid Assessment Team for faster triage;  team educated on visual metrics (Computer Tracking System) with emphasis on patient status changes. When at capacity, the hospital ensures that ED or Inpatient Nurses are responsible for providing care for all patients that are boarding in the ER (waiting for an Inpatient bed).  NBH has begun construction on a brand new ED providing 28 beds; which will be completed in December 2017. Phase 2 will provide an additional 15 bed observation unit that will provide more flexibility to Inpatient admissions. Protocols are started by nursing on every patient in an effort to reduce the time waiting for results.  Patients are immediately taken to a bed if available to begin triage and decrease wait time.  Additional medical staff hours have been added.  The charge nurse role has been modified to allow more time to address ER volume. Created admission units to move patients out of the ED to
increase patient flow Implementation of bridge orders by ED physicians. Teletracking monitoring and updating attribute forms in a timely manner. Initiation of admission orders within one hour of
status change to inpatient The ED team has been
educated on Visual Metrics (Computer Tracking System);patient status changes are reviewed to optimize patient throughput. When at capacity, the hospital ensures that ED or Inpatient Nurses are responsible for providing care for all patients that are boarding in the ER (waiting for an Inpatient bed).  NBH has begun construction on a brand new ED providing 28 beds; which will be completed in December 2017. Phase 2 will provide an additional 15 bed observation unit that will provide more flexibility to Inpatient admissions. Positions have been opened to staff a 4 bed admission unit, which will free up additional ER beds for patient evaluation and treatment.   Additional medical staff hours have been added.  The charge nurse role has been modified to allow more time to address ER volume. Created admission units to move patients out of the ED to
increase patient flow. Teletracking monitoring and updating attribute forms in a timely manner. Hospital wide plan to implement an admission holding unit for patients waiting for a bed. The Rapid Assessment Team addresses patient triage more quickly.  A Fast Track Area provides additional access for patients and to improve patient flow. Daily nursing communication & education; P.A. in Triage to initiate orders. Patients treated 'vertically' in waiting room as appropriate. Opened new vertical hold treatment area for additional access to care. In final phases of ED Expansion Planning and Approval Process. Reporting daily metrics on key quality measures. Positions have been opened to staff a 4 bed admission unit, which will free up additional ER beds for patient evaluation and treatment.  Additional medical staff hours have been added. The charge nurse role has been modified to allow more time to address ER volume. Created admission units to move patients out of the ED to increase patient flow. Created an adult Vertical Patient review
group. They are creating processes to increase daily volumes to 100 and decrease avg TIDs to 90 minutes. Implementation of direct bedding and vertical bed area. Education of team members to remove patients from tracking board in a timely manner. ED coordinator monitors discharge orders. Emergency Department is in final stage of facility update/expansion for improved flow. Patients bypass the triage area and placed directly into the patient care area whenever open beds are available. Implemented new processes (rapid triage), Reporting daily metrics on key quality measures and working on ED Expansion and Vertical Hold Plans. Positions have been opened to staff a 4 bed admission unit, which will free up additional ER beds for patient evaluation and treatment.   Additional medical staff hours have been added.  The charge nurse role has been modified to allow more time to address ER volume. Created admission units to move patients out of the ED to increase
patient flow Created Fast Track Unit to move patients out of the ED to increase
patient flow Implementation of direct bedding and vertical bed area. Triage to work on process to identify patients with broken bones and
notify PA so pain medication can be ordered.  Daily metrics are being reported and initiative to decrease door to doc time is
in effect. Education and awareness of the measure took place. New protocol
for pain management developed. Implemented triage protocols to address pain management  and updated white boards to improve pain management and communication.